GAVIN KOLODGE
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Pain Medicine
Provider Information
- NPI Number
1407210537- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9095 RIO SAN DIEGO DR STE 450, SAN DIEGO, CA, 921081726
- Phone
- (619) 853-8860
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Pain Medicine
Primary License: CA #20A18281